ATLAS 2014 Workshop - Registration form

Fields in Bold are required.

Name:

Organization:
Department:

Business Address:
Street

City
State
Zip

Country

Business Phone:
Fax:

E-mail:

Citizenship:

Additional information is needed
for on-site access for non-US citizens who are not ATLAS Users.
To download the form as a word document or pdf file, please go to the ATLAS user website
(http://www.phy.anl.gov/atlas/users/visitor_info.html).
Please return information to Barbara Weller by May 11, 2014.

How will you pay the registration fee of $40? &nbsp&nbspSent by mailPaid at time of registration

Please state if you have special dietary needs:

LODGING:

Below are several area lodging facilities with rates and telephone numbers. Please make your reservation directly with the hotel. If you stay at the LaQuinta, please call ext 6 and let them know this is for Argonne in order to get the Argonne rate.

Argonne Guest House

LaQuinta

9700 S. Cass Ave, Bldg. 460

855 79th St

Argonne, IL 60439

Willowbrook, IL 60527

800.632.8990 or 630.739.6000

630.654.0077 ext 6

Fax: 630.739.1000

Fax: 630.654.0181

E-mail:argonne-guest-house@anl.gov

Single: $79.50/night (tax included)

Single: $66.34/night (tax included)

Double: $79.50/night (tax included)

FOR
PASS:

Arrival date (mm/dd/yyyy):
Departure date (mm/dd/yyyy):

TRANSPORTATION

Following are available limousine services between O'Hare or Midway Airport and Argonne (cost is approximately $48 one-way). To make advance reservations call:

United Livery Service - 630.969.3865 or Out-of-State: 800.331.9037 Fax: 630.969.8976

For site access, you must present your
original passport, original visa and/or I-94 or I-94W (Departure Record). If the expiration date on the I-94 or I-94W
reads D/S (Duration of Status), you must present the supporting immigration
documentation (i.e., I-20, DS-2019). Failure to do so may deny your access to the site